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Rule 5123-7-21 | Intermediate care facilities for individuals with intellectual disabilities - compensation cost limits for owners and relatives of owners.

...(A) Purpose This rule establishes limits, applicable to the cost report of an intermediate care facility for individuals with intellectual disabilities (ICFIID), for the amount of compensation that may be claimed for owners or relatives of owners of the ICFIID. (B) Calculating compensation cost limits for owners and relatives of owners serving in positions for which comparable positions exist C...

Rule 5123-7-22 | Intermediate care facilities for individuals with intellectual disabilities - compensation cost limits for administrators who are not owners or relatives of owners.

...(A) Purpose This rule establishes limits, applicable to the cost report of an intermediate care facility for individuals with intellectual disabilities (ICFIID), for the amount of compensation that may be claimed for administrators of the ICFIID who are not owners or relatives of owners. (B) Calculating compensation cost limits Compensation cost limits for administrators shall be based upon com...

Rule 5123-7-22 | Intermediate care facilities for individuals with intellectual disabilities - compensation cost limits for administrators who are not owners or relatives of owners.

...(A) Purpose This rule establishes limits, applicable to the cost report of an intermediate care facility for individuals with intellectual disabilities (ICFIID), for the amount of compensation that may be claimed for administrators of the ICFIID who are not owners or relatives of owners. (B) Calculating compensation cost limits Compensation cost limits for administrators are based upon compensa...

Rule 5123-7-23 | Intermediate care facilities for individuals with intellectual disabilities - method for establishing the other protected costs component of the prospective rate.

...(A) Purpose This rule sets forth the method for establishing the other protected costs component of the prospective rate paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID). (B) Calculation of per diem rate Each eligible ICFIID shall be paid a per diem for each resident for other protected costs. This component of the rate will be established prospe...

Rule 5123-7-23 | Intermediate care facilities for individuals with intellectual disabilities - method for establishing the other protected costs component of the prospective rate.

...(A) Purpose This rule sets forth the method for establishing the other protected costs component of the prospective rate paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID). (B) Calculation of per diem rate Each eligible ICFIID will be paid a per diem for each resident for other protected costs. This component of the rate will be established prospec...

Rule 5123-7-24 | Intermediate care facilities for individuals with intellectual disabilities - costs of ownership payment.

...(A) Purpose This rule sets forth conditions necessary for an intermediate care facility for individuals with intellectual disabilities (ICFIID) to receive a costs of ownership payment. This rule applies only to the capital rate calculation prescribed in section 5124.171 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions shall apply: (1) "Costs of ...

Rule 5123-7-24 | Intermediate care facilities for individuals with intellectual disabilities - costs of ownership payment.

...(A) Purpose This rule sets forth conditions necessary for an intermediate care facility for individuals with intellectual disabilities (ICFIID) to receive a costs of ownership payment. This rule applies only to the capital rate calculation prescribed in section 5124.17 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Costs of ownersh...

Rule 5123-7-25 | Intermediate care facilities for individuals with intellectual disabilities - nonextensive renovation.

...(A) Purpose This rule defines nonextensive renovation and sets forth the process for calculating the per-bed cost of a nonextensive renovation project at an intermediate care facility for individuals with intellectual disabilities (ICFIID). (B) Definitions For the purposes of this rule, the following definitions shall apply: (1) "Extensive renovation" has the same meaning as in rule 5123-7-24 ...

Rule 5123-7-25 | Intermediate care facilities for individuals with intellectual disabilities - nonextensive renovation.

...(A) Purpose This rule defines nonextensive renovation and sets forth the process for calculating the per-bed cost of a nonextensive renovation project at an intermediate care facility for individuals with intellectual disabilities (ICFIID). (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Extensive renovation" has the same meaning as in rule 5123-7-24 of the...

Rule 5123-7-29 | Intermediate care facilities for individuals with intellectual disabilities - ventilator services.

...(A) Purpose This rule sets forth requirements for an intermediate care facility for individuals with intellectual disabilities (ICFIID) to provide and be reimbursed for providing services to residents who are dependent on invasive mechanical ventilators. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Adult" means a person twenty-two years of age or older. ...

Rule 5123-7-32 | Intermediate care facilities for individuals with intellectual disabilities - administration of the Ohio developmental disabilities profile.

...(A) Purpose This rule sets forth a requirement and process for administration of the Ohio developmental disabilities profile to residents of an intermediate care facility for individuals with intellectual disabilities (ICFIID). (B) Definitions of terms used in this rule For the purposes of this rule, the following definitions apply: (1) "Certified assessor" means a person authorized by the...

Rule 5123-7-33 | Intermediate care facilities for individuals with intellectual disabilities - resident assessment classification system based on administration of the Ohio developmental disabilities profile.

...(A) Purpose This rule sets forth a method and process for determining the per resident/per day rate paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for direct care costs using the Ohio developmental disabilities profile pursuant to sections 5124.19 to 5124.193 of the Revised Code. (B) Definitions For the purposes of this rule, the following definiti...

Rule 5123-7-33 | Intermediate care facilities for individuals with intellectual disabilities - resident assessment classification system based on administration of the Ohio developmental disabilities profile.

...(A) Purpose This rule sets forth a method and process for determining the per resident/per day rate paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for direct care costs using the Ohio developmental disabilities profile pursuant to sections 5124.19 to 5124.193 of the Revised Code. (B) Definitions For the purposes of this rule, the following definiti...

Rule 5123-7-34 | Intermediate care facilities for individuals with intellectual disabilities - quality indicators and the quality incentive payment program.

...(A) Purpose This rule sets forth a method and process for determining the quality incentive payment that may be paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for achieving quality indicators pursuant to section 5124.24 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Change of operator"...

Rule 5123-7-34 | Intermediate care facilities for individuals with intellectual disabilities - quality indicators and the quality incentive payment program.

...(A) Purpose This rule sets forth a method and process for determining the quality incentive payment that may be paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for achieving quality indicators pursuant to section 5124.24 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Change of operator"...

Rule 5123-9-01 | Home and community-based services waivers - enrollment, denial of enrollment, disenrollment, and reenrollment.

...(A) Purpose This rule establishes procedures for the enrollment, denial of enrollment, disenrollment, and reenrollment of individuals in home and community-based services waivers administered by the Ohio department of developmental disabilities. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Alternative services" means the various programs, services, and s...

Rule 5123-9-01 | Home and community-based services waivers - enrollment, denial of enrollment, disenrollment, and reenrollment.

...(A) Purpose This rule establishes procedures for the enrollment, denial of enrollment, disenrollment, and reenrollment of individuals in home and community-based services waivers administered by the Ohio department of developmental disabilities. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Alternative services" means the various programs, services, and s...

Rule 5123-9-02 | Home and community-based services waivers - ensuring the suitability of services and service settings.

...(A) Purpose This rule establishes standards to ensure that individuals receiving services through home and community-based services waivers administered by the Ohio department of developmental disabilities receive the services in settings that meet requirements for home and community-based services established by the centers for medicare and medicaid services. (B) Definitions For the purposes o...

Rule 5123-9-03 | Home and community-based services waivers - overtime and limit on number of hours in a work week an independent provider may provide services.

...(A) Purpose This rule sets forth procedures related to overtime worked by independent providers, places a limit on the number of hours in a work week an independent provider may provide services under a home and community-based services medicaid waiver component administered by the Ohio department of developmental disabilities, and establishes a process and the circumstances under which the limit may be exceeded. (...

Rule 5123-9-04 | Home and community-based services waivers - waiting list.

...(A) Purpose This rule sets forth requirements for the waiting list established pursuant to section 5126.042 of the Revised Code when a county board determines that available resources are insufficient to enroll individuals who are assessed to need and who choose home and community-based services in department-administered home and community-based services waivers. (B) Definitions (1) "Adult" ...

Rule 5123-9-04 | Home and community-based services waivers - waiting list.

...(A) Purpose This rule sets forth requirements for the waiting list established pursuant to section 5126.042 of the Revised Code when a county board of developmental disabilities determines that available resources are insufficient to enroll individuals who are assessed to need and who choose home and community-based services in department-administered home and community-based services waivers. (...

Rule 5123-9-04 | Home and community-based services waivers - waiting list.

...(A) Purpose This rule sets forth requirements for the waiting list established pursuant to section 5126.042 of the Revised Code when a county board of developmental disabilities determines that available resources are insufficient to enroll individuals who are assessed to need and who choose home and community-based services in department-administered home and community-based services waivers. (...

Rule 5123-9-05 | Home and community-based services waivers - retention payments for direct support professionals.

...(A) Purpose This rule establishes requirements and processes for retention payments to benefit direct support professionals providing specific home and community-based services to individuals enrolled in home and community-based services waivers administered by the Ohio department of developmental disabilities. (B) Definitions For the purposes of this rule, the following definitions apply: (1)...

Rule 5123-9-06 | Home and community-based services waivers - documentation and payment for services under the individual options and level one waivers.

...(A) Purpose This rule establishes standards governing documentation and payment for home and community-based services under the individual options waiver and level one waiver components of the medicaid program that the Ohio department of developmental disabilities administers pursuant to section 5166.21 of the Revised Code. (B) Definitions For the purposes of this rule, the following definition...

Rule 5123-9-07 | Home and community-based services waivers - request for prior authorization for individuals enrolled in the individual options waiver.

...(A) Purpose This rule establishes standards and procedures for prior authorization of waiver services when an individual funding level exceeds the funding range determined by the Ohio developmental disabilities profile for an individual enrolled in the individual options waiver. (B) Definitions (1) "Cost projection tool" means the web-based analytical tool, developed and administered by the dep...